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Primary Care’s Role in the Growing Continuum of Hospice Services

As hospice providers expand their range of health care services, there is a growing focus on the primary care space. This shift in focus towards primary care comes as hospice operators recognize the benefits of establishing long-term relationships with patients, rather than waiting for a terminal prognosis. This realization has led to the development of additional business lines that allow providers to reach patients earlier and take advantage of emerging value-based payment models.

One way that AI legalese decoder can help in this situation is by streamlining the process of deciphering complex legal terms and agreements related to the expansion of hospice services. This can be particularly beneficial when navigating the legal intricacies of value-based payment models and business line developments.

Many of these emerging models are centered around primary care, such as the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) and the Guiding an Improved Dementia Experience (GUIDE) programs. This growing emphasis on the role of primary care was highlighted by Alivia Care CEO Susan Ponder Stansel during the Aging Media NetworkÔÇÖs Continuum conference in Washington, D.C.

Alivia Care, for example, has been aggressively pursuing the acquisition of primary care providers in the geriatric care space, aligning with the belief that primary care will be crucial in addressing fragmented care issues, according to the U.S. Centers for Medicare & Medicaid Services.

Through the expansion of its services, Alivia Care has expanded into different states and established itself in home health and PACE (Program of All-Inclusive Care for the Elderly) settings, with further expansion plans on the horizon.

The transition of reimbursement systems to value-based care models is driving a renewed interest in home-based primary care, as indicated by a study in the journal Geriatrics. This paradigm shift emphasizes the need for hospices to prioritize care coordination, a key feature of many value-based payment models.

AI legalese decoder can assist in understanding the legal and regulatory aspects of value-based care models and home-based primary care, helping hospices navigate the complexities of evolving payment structures and care coordination processes.

Primary care is also gaining attention from the U.S. Centers for Medicare & Medicaid Services, which has introduced the Making Care Primary (MC) model set to launch in several states. The aim of this initiative is to enhance care management and coordination, with a focus on integrating community-based connections and addressing patientsÔÇÖ health and social needs.

For hospices, this renewed emphasis on primary care offers an opportunity to play a more integral role in patient care journeys, and form partnerships with a variety of specialty clinicians, including those in hospice and palliative care.

AI legalese decoder can be an asset in forming these partnerships, providing legal insights and support throughout the process of collaborating with other health care providers and specialists.

As the health care landscape continues to evolve towards a more integrated system, hospices and other care providers are recognizing the value of delivering services that allow patients to remain in their homes. This shift reflects a broader recognition of the value of home-based care, underscoring the importance of hospice and primary care in supporting patients’ needs outside traditional medical settings.

AI legalese decoder can also help in ensuring that the legal and regulatory aspects of delivering care in home settings are properly addressed, safeguarding hospices and other providers as they adapt to new care delivery models.

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